손혜란 교수의 재미있는 색 이야기

손혜란,Son, Hye-Ran 대한인쇄문화협회 2003 프린팅코리아 Vol.14 No.-

지적 장애 청소년의 자기표현과 자아존중감 향상을 위한 인지행동 미술치료 사례연구

손혜란,손혜주,이상경 사단법인 한국융합기술연구학회 2024 아시아태평양융합연구교류논문지 Vol.10 No.2

This study was conducted as a single case study to examine the impact of cognitive-behavioral art therapy on improving self-expression and self-esteem in adolescents with intellectual disabilities. The subject of the study was a mildly intellectually disabled female who was a second-year student at a special education high school, living in city D, receiving cognitive and speech therapy. In this case, a total of 100 sessions of 50 minutes were conducted 5 to 6 times a week at Y Treatment Center in D City from June to December 2022. To examine changes in self-expression and self-esteem in adolescents with intellectual disabilities, the KHTP drawing test, self-expression scale test, and self-esteem test were conducted pre-and post-test, and compared and analyzed. In addition, qualitative analysis was conducted by recording observations for each session. The research findings revealed, firstly, that cognitive-behavioral art therapy had a positive effect on the self-expression of adolescents with intellectual disabilities. Secondly, cognitive-behavioral art therapy positively influenced the self-esteem of these adolescents. Thirdly, qualitative analysis of session-by-session observations indicated positive changes. Based on these results, this study suggests that cognitive behavioral art therapy has a positive effect on improving self-expression and self-esteem in adolescents with intellectual disabilities, and is significant in that it provides practical possibilities and empirical case study data for activities in counseling settings. 본 연구는 인지행동 미술치료가 지적장애 청소년의 자기표현과 자아존중감 향상에 미치는 영향을 알아보기 위한 목적을 두고 단일사례연구로 진행하였다. 연구 대상은 D시에 거주하는 특수고등학교 2학년 여자로 '장애의 정도가 심하지 않은’장애 정도로 분류되며 인지, 언어 치료를 받고 있다. 본 사례는 2022년 6월부터 12월까지 D시의 Y 치료센터에서 주 5~6회 50분씩 총 100회기를 실시하였다. 지적장애 청소년의 자기표현과 자아존중감의 변화를 알아보기 위해 KHTP 그림 검사와 자기표현 척도 검사, 자아존중감 검사를 사전·사후로 실시하여 비교 분석하였다. 또한, 프로그램을 4단계로 설정하여 회기별 관찰지를 기록하고 질적 분석하였다. 연구 결과는 첫째, 인지행동 미술치료가 지적장애 청소년의 자기표현에 긍정적인 영향을 주는 것으로 나타났다. 둘째, 인지행동 미술치료가 지적장애 청소년의 자아존중감 향상에 영향을 주는 것으로 나타났다. 셋째, 회기별 관찰지를 통한 질적분석 결과 긍정적인 변화가 있었다. 이에 따라 본연구는 인지행동 미술치료가 지적장애 청소년의 자기표현과 자아존중감 향상에 긍정적 효과가 있음을 제시하며, 상담 현장에서의 활용 가능성 및 경험적 사례 연구자료를 제공했다는 것에 의의를 둔다.

이상적 대화와 교육현장 : Gadamer의 대화모형을 중심으로

손혜란 숙명여자대학교 교육문제연구소 1995 교육연구 Vol.4 No.-

알레르기비염에서 항히스타민제와 Montelukast 복합요법의 효과

손혜란,이기일,정영준,모지훈 대한비과학회 2013 Journal of rhinology Vol.20 No.1

Background : Montelukast is a type 1 cysteinyl-leukotrienes receptor antagonist that has been widely used in allergic disease. However, the effect of combination of leukotriene receptor antagonist and antihistamine is controversial. The aim of this study was to compare the effect of combination treatment of montelukast and antihistamine,fexofenadine, over antihistamine alone in patients with allergic rhinitis (AR). Subjects and Methods : Retrospective chart review of 60 patients with AR was undertaken. Patients were classified into combination group (montelukast and fexofenadine, n=28) and antihistamine only group (fexofenadine, n=32) according to treatment modalities. Questionnaire survey was performed and allergic symptoms (VAS scale, 5pointscale), and SNOT (sinonasal outcome test)-20 score were obtained before and after the treatment. Results : Mean follow-up duration was 6.7±4.6weeks. There was no significant difference in demographic data between two groups. Allergic symptoms and SNOT-20 score(nasal, QOL domain) were improved significantly in both groups after the treatment (all p < 0.001). Combination treatment group showed better improvement in nasal obstruction than antihistamine treatment group(p = 0.03). However, there were no significant differences in other allergic symptoms (rhinorrhea and sneezing) and SNOT-20 between two groups (all p > 0.05, respectively). Conclusion: A combination treatment of montelukast and fexofenadine showed more efficacies in nasal obstruction than single fexofenadine treatment in patients with AR. Therefore, montelukast could be used effectively with antihistamine in patients with AR complaining nasal congestion.

치료에 반응하지 않는 수평반고리관 양성 돌발성 두위현훈의 보존적 치료

손혜란,이정구,서명환,정재윤 대한평형의학회 2011 Research in Vestibular Science Vol.10 No.4

Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo. Although it is easily cured by repositioning maneuvers for the majority of patients, it can be resistant to treatment in rare cases. Surgery can be considered for such patients with intractable BPPV. But surgery may be followed by some side effects such as hearing loss and persistent disequilibrium. We report a 77-year-old-female patients who had positional vertigo for 5 years in despite of repositioning maneuver at several hospitals. We performed repeated repositioning maneuvers twice a day for 1 month. Her symptom and nystagmus finally subsided after 2 months. Repeated aggressive repositioning maneuver may be an alternative for surgery for patients with intractable BPPV.

최근 3년간 분리된 균주의 내성 양상 및 항균제 사용 현황

손혜란,남궁광현,오양순,김보영,조송자 한국병원약사회 1996 病院藥師會誌 Vol.13 No.3

교뇌 경색에 의한 원지성 방향전환성 두위안진

손혜란,정재윤,서명환 대한평형의학회 2012 Research in Vestibular Science Vol.11 No.3

It is thought that horizontal canal benign paroxysmal positional vertigo (BPPV)is the most common cause of apogeotropic direction-changing positional nystagmus (DCPN). But there are many reports about cerebellar or brainstem lesions as the cause of apogeotropic DCPN. We also report a 72-year-old male patient who showed apogeotropic DCPN, but was proven to have a pontine infarction. The patients complained of disequilibrium which has lasted for 3-4 years and aggravated recently. The symptom was present only when he stood up, and was absent as soon as he sat down. He was not able to successfully perform the Romberg test and tandem gait on physical examination. Vestibular function test revealed apogeotropic DCPN without spontaneous nystagmus. Rotation chair test and caloric test results were all within normal limit. On the brain magnetic resonance imaging, newly detected infarction in the left basal ganglia, pons and right parietal lobe was found. Although horizontal canal BPPV is the most common cause of apogeotropic DCPN, we should be aware that there can be patients with central origin DCPN. In this report, we present the detailed history of this patient and tried to point out the clues to suspect central lesion in patients with apogeotropic DCPN.

일측성 전정병증 환자에서 Rectified Vestibular Evoked Myogenic Potential의 병변 예측도 분석

손혜란,정재윤,김봉직,이정구 대한평형의학회 2013 Research in Vestibular Science Vol.12 No.4

Background and Objectives: Rectified vestibular evoked myogenic potential (rVEMP) is a relatively new method that simultaneously measures the muscle contraction power during VEMP recording and corrects the difference of contraction power afterwards. Several studies showed rVEMP is more reliable than non-rectified VEMP (nVEMP). However, those studies evaluated usefulness of rVEMP in patients with normal vestibular function. Thus, we evaluate the effect of rectification to predict lesion side in unilateral vestibulopathy patients. Materials and Methods: One-hundred nine acute unilateral vestibulopathy patients whom VEMP were performed in were included retrospectively. We regarded hearing loss side as lesion side in sudden hearing loss (n=33), meniere’s disease (n=29) and in vestibular neuritis (n=45), the side of positive head thrust test with canal paresis >30% was regarded as a lesion side. We excluded bilateral vestibulopathy. The inter-aural amplitude difference (IAD) ratio was calculated by the nVEMP and rVEMP. Results: Mismatch rate between nVEMP and rVEMP was 36.61%, match rate was 49.54%, opposition rate was 13.76%. rVEMP predicted lesion side on 15 patients of mismatch group correctly, while nVEMP predicted lesion side on 25 patients of mismatch group. There was no significant difference in IAD ratio between nVEMP and rVEMP in patients who showed lesion side weakness on both nVEMP and rVEMP. But, the younger the patient was, the more chance of mismatch was significantly (p=0.03). Conclusion: There was no more corrective role in determining lesion side by rectification in unilateral vestibulopathy. Thus rVEMP might not be helpful for predicting lesion side in unilateral vestibulopathy.

비배부로 확장된 비중격 농양

손혜란,모지훈,정영준 대한이비인후과학회 2014 대한이비인후과학회지 두경부외과학 Vol.57 No.2

Nasal septal abscess is an uncommon entity and causes nasal obstruction, saddle nose deformity and septal perforation. It is defined as a collection of pus between the cartilage or bony septum and its normally applied mucoperichondrium or mucoperiostium. Previously reported cases are confined in the nasal septal space and case of nasal septal abscess extending to nasal dorsum has not yet been reported in the literature. We recently experienced an extremely rare case of nasal septal abscess which extended to the nasal dorsum and caused abscess on the nasal dorsum. Therefore, we present this case with a brief review of literature. Korean J Otorhinolaryngol-Head Neck Surg 2014;57:116-9

비염 환자에서 기관지 과민성에 영향을 미치는 인자

손혜란,이정현,정영준,모지훈 대한이비인후과학회 2014 대한이비인후과학회지 두경부외과학 Vol.57 No.3

Background and Objectives Many studies have revealed a close relationship between allergic rhinitis (AR) and asthma. This study was designed to evaluate clinical parameters affecting bronchial hyperresponsiveness (BHR) in patients with rhinitis symptoms. Subjects and Method One hundred thirty-seven patients who visited the outpatient clinic due to rhinitis symptoms were evaluated retrospectively. All patients undertook an allergic skin test, the methacholine bronchial provocation test and were tested for clinical parameters such as allergic symptoms, IgE levels, and sinonasal outcome test-20 were evaluated. Results Patients with AR had a higher proportion of BHR than the non-allergic group (28.0% vs. 4.5%, p=0.001) did, and children had higher prevalence of BHR than adults (p<0.005) did. There was no significant difference according to the type of allergen. Sinusitis or nasal polyp did not influence BHR and there were no significant differences according to the Allergic Rhinitis and Its Impact on Asthma classification. The mean serum eosinophil count was significantly higher in BHR group. Conclusion Patients with AR had more BHR, and age and serum eosinophil counts were related to BHR. Hence, the additional evaluation of lower airway might be required in high risk patients of BHR, such as pediatric AR patients and patients with elevated eosinophil counts. Korean J Otorhinolaryngol-Head Neck Surg 2014;57(3):160-5